| Resume alert | Resumes 41 - 50 of 25638 |
Customer Service Call Center
Edinburg, TX
... Work History & Experience Spherion-Maximus December 2023- February 2024 Member Services HIPPA Verification on members, Medicaid, •Using up to 8 programs 2 screens, Troubleshooting PC, •WFH, Referring to certain member service for food, water, ... - Apr 24
... Work History & Experience Spherion-Maximus December 2023- February 2024 Member Services HIPPA Verification on members, Medicaid, •Using up to 8 programs 2 screens, Troubleshooting PC, •WFH, Referring to certain member service for food, water, ... - Apr 24
Customer Service Claims Adjuster
Hampton, VA
... • Determining policy coverage and calculating claim amounts based on Medicaid or Medicare. • Processing claim payments. • Complying with federal, state, and company regulations and policies. • Process reconsiderations for providers who re-bill a ... - Apr 24
... • Determining policy coverage and calculating claim amounts based on Medicaid or Medicare. • Processing claim payments. • Complying with federal, state, and company regulations and policies. • Process reconsiderations for providers who re-bill a ... - Apr 24
Insurance Coordinator Verification
Chicago, IL
... on Insurance ● Collecting money for co-payments and payment plan ● Approving or denying Charity Patient Advocate Great Lakes Medicaid - Chicago, IL September 2005 to November 2015 Responsible for processing over 800 Inpatient and outpatient hospital ... - Apr 24
... on Insurance ● Collecting money for co-payments and payment plan ● Approving or denying Charity Patient Advocate Great Lakes Medicaid - Chicago, IL September 2005 to November 2015 Responsible for processing over 800 Inpatient and outpatient hospital ... - Apr 24
Project Manager Program Management
Washington, DC
... Reconciled Medicaid outliers and followed up on Medicare claims • Identified the root cause of low or non-payments • Communicated with payers for re-submission of patient account data and coordinate with CMO as needed • Reconciled over $500,000 in ... - Apr 24
... Reconciled Medicaid outliers and followed up on Medicare claims • Identified the root cause of low or non-payments • Communicated with payers for re-submission of patient account data and coordinate with CMO as needed • Reconciled over $500,000 in ... - Apr 24
Human Resources
Canton, GA
... Roswell Nursing and Rehabilitation Center, Roswell, GA 3/2013 - 1/2017 Medicaid Specialist Determined eligibility of applicants for government assistance. Enrolled applicants in eligible government programs. Answered applicant questions about ... - Apr 24
... Roswell Nursing and Rehabilitation Center, Roswell, GA 3/2013 - 1/2017 Medicaid Specialist Determined eligibility of applicants for government assistance. Enrolled applicants in eligible government programs. Answered applicant questions about ... - Apr 24
Pharmacy Technician Customer service remote prior authorization
Cullom, IL, 60929
... Terminology Drug Classifications & Safety Medication Inventory Management Fluent in Microsoft Office Products Medicare, Medicaid & Insurance Claims Processing Customer Service/Customer Relations Fill Prescriptions for approval by pharmacists. ... - Apr 24
... Terminology Drug Classifications & Safety Medication Inventory Management Fluent in Microsoft Office Products Medicare, Medicaid & Insurance Claims Processing Customer Service/Customer Relations Fill Prescriptions for approval by pharmacists. ... - Apr 24
Administrative Assistant Nursing
Philadelphia, PA
... CORE QUALIFICATIONS Basic Coding Skills for ICD/CPT Third Party Medicare Medicaid HMO PPO CMS1500 Claim Form Billing Cycle Claims Appeal Process Medical Administrative Assistant Medical Terminology Patient Processing and Patient Registration Medical ... - Apr 24
... CORE QUALIFICATIONS Basic Coding Skills for ICD/CPT Third Party Medicare Medicaid HMO PPO CMS1500 Claim Form Billing Cycle Claims Appeal Process Medical Administrative Assistant Medical Terminology Patient Processing and Patient Registration Medical ... - Apr 24
Oral Surgery Clinical Director
Columbus, OH
... 2020 n Associate Dentist - Performed Endodontics and 3rd molar surgery through referrals from community-based dentists (Medicaid, Care Source, Melina, etc.) - Saw Pediatric through Geriatric patients for restorative needs Lima Community Dental, ... - Apr 24
... 2020 n Associate Dentist - Performed Endodontics and 3rd molar surgery through referrals from community-based dentists (Medicaid, Care Source, Melina, etc.) - Saw Pediatric through Geriatric patients for restorative needs Lima Community Dental, ... - Apr 24
Customer Service
Nampa, ID, 83651
... Order medical equipment from hospitals and doctor’s offices Oversee payroll department and Bank Deposits Medicaid and private insurance billing - Apr 23
... Order medical equipment from hospitals and doctor’s offices Oversee payroll department and Bank Deposits Medicaid and private insurance billing - Apr 23
Revenue Cycle Project Management
Lafayette, LA
... Payor Enrollment and Credentialing Ensure that health centers are able to maintain credentials with third party payors and that both practitioners and facilities are enrolled in Medicare/Medicaid. Assist health centers in processing and filing ... - Apr 23
... Payor Enrollment and Credentialing Ensure that health centers are able to maintain credentials with third party payors and that both practitioners and facilities are enrolled in Medicare/Medicaid. Assist health centers in processing and filing ... - Apr 23